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Organization

SINKS CANYON THERAPIES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KYLE KIENLEN-TRUJILLO M.S., CCC-SLP (OWNER-SPEECH-LANGUAGE PATHOLOGIST)
(307) 332-2715
Entity
Organization

Contact information

Practice address
307 MAIN ST., LANDER, WY 82520
(307) 332-2715
Mailing address
307 MAIN ST., LANDER, WY 82520
(307) 332-2715

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
261QA3000X
Augmentative Communication Clinic/Center
261QH0700X
Hearing and Speech Clinic/Center
261QP2000X
Physical Therapy Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123118900
WY
Enumeration date
03/13/2007
Last updated
09/11/2025
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